IJCM  Vol.4 No.7 B , July 2013
A Retrospective Study of Paediatric Dental Patients Treated under General Anesthesia
ABSTRACT
Dental care under general anesthesia (DGA) was found to be a safe, efficient and effective quality treatment for children. Purpose: To describe the characteristics of child dental patients treated under DGA and describe the indications of the treatments and types of treatments provided. Method: The sample consisted of 40 patients treated under DGA at Department of Paediatric Dentistry of school and Hospital of Stomatology of Wuhan University between June 2011 and December 2012. Detailed information was collected from dental records. SPSS software package was used for statistical analysis. Results: The age of the patients ranged from 2.5 years to 24.1 years. Males were more common than females M:F 1.5:1 .The mental retardation patients accounted for (5%) of the sample. The most common indication was inability to cooperate and accept dental treatment under local anesthesia (95%). The treatments rendered included: caries restorations (37%), root canal treatments (34%), extractions (7%), fluoride application (6%), fissure sealants (6%), indirect pulp capping (5%), stainless steel crowns (4%), pulpotomies (0.8%) and labial frenectomy (0.1%). In the follow-up visit fillings were found to be lost in 3 patients, with 2 anterior teeth and one posterior tooth. Conclusion: Caries restoration and root canal treatments were the most common treatments provided. Preventive strategies should be targeted toward children to reduce the number of healthy children receiving treatment under general anesthesia. Clinical significance: This study provides baseline information regarding the types of treatments for paediatric dental patients inWuhanand it is hoped that the data from this study will be useful for other researchers.

Cite this paper
R. Bader, G. Song and E. Almuhtaseb, "A Retrospective Study of Paediatric Dental Patients Treated under General Anesthesia," International Journal of Clinical Medicine, Vol. 4 No. 7, 2013, pp. 18-23. doi: 10.4236/ijcm.2013.47A2005.
References
[1]   L. Sun, “Early Childhood General Anaesthesia Exposure and Neurocognitive Development,” British Journal of Anaesthesia, Vol. 105, No. 1, 2010, pp. i61-i68. doi:10.1093/bja/aeq302

[2]   S. Atan, P. Ashley, M. S. Gilthorpe, B. Scheer, C. Mason and G. Roberts, “Morbidity Following Dental Treatment of Children under Intubation General Anaesthesia in a Day-Stay Unit,” International Journal of Paediatric Dentistry, Vol. 14, No. 1, 2004, pp. 9-16. doi:10.1111/j.1365-263X.2004.00520.x

[3]   N. Savanheimo, M. M. Vehkalahti, A. Pihakari and M. Numminen, “Reasons for and Parental Satisfaction with Chidlren’s Dental Care under General Anaesthesia,” International Journal of Paediatric Dentistry, Vol. 15, No. 6, 2005, pp. 448-454. doi:10.1111/j.1365-263X.2005.00681.x

[4]   D. Nick, L. Thompson, D. Anderson and L. Trapp, “The Use of General Anesthesia to Facilitate Dental Treatment,” General Dentistry, Vol. 51, No. 5, 2003, pp. 464-468.

[5]   M. A. Klaassen, J. S. Veerkamp and J. Hoogstraten, “Young Children’s Oral Health-Related Quality of Life and Dental Fear after Treatment under General Anaesthesia: A Randomized Controlled Trial,” European Journal of Oral Sciences, Vol. 117, No. 3, 2009, pp. 273-278. doi:10.1111/j.1600-0722.2009.00627.x

[6]   The American Academy of Pediatric Dentistry, “Guideline on Behavior Guidance for the Pediatric Dental Patient,” 2011. http://www.aapd.org

[7]   F. Vinckier, S. Gizani and D. Declerck, “Comprehensive Dental Care for Children with Rampant Caries under General Anaesthesia,” International Journal of Paediatric Dentistry, Vol. 11, No. 1, 2001, pp. 25-32. doi:10.1046/j.1365-263x.2001.00204.x

[8]   D. Haubek, M. Fuglsang, S. Poulsen and I. Rolling, “Dental Treatment of Children Referred to General Anaesthesia—Association with Country of Origin and Medical Status,” International Journal of Paediatric Dentistry, Vol. 16, No. 4, 2006, pp. 239-246. doi:10.1111/j.1365-263X.2006.00737.x

[9]   A. R. Shepherd and F. J. Hill, “Orthodontic Extractions: A Comparative Study of Inhalation Sedation and General Anaesthesia,” British Dental Journal, Vol. 188, 2000, pp. 329331. doi:10.1038/sj.bdj.4800471

[10]   I. Tarján, G. Mikecz and J. Dénes, “General Anaesthesia of Out-Patients in Pedodontics,” Journal of the International Association of Dentistry for Children, Vol. 20, No. 2, 1990, pp. 59-61.

[11]   M. Vermeulen, F. Vinckier and J. Vandenbroucke, “Dental General Anesthesia: Clinical Characteristics of 933 Patients,” ASDC Journal of Dentistry for Children, Vol. 58, No. 1, 1991, pp. 27-30.

[12]   M. G. Harrison and G. J. Roberts, “Comprehensive Dental Treatment of Healthy and Chronically Sick Children under Intubation General Anaesthesia during a 5-Year Period,” British Dental Journal, Vol. 184, No. 10, 1998, pp. 503506. doi:10.1038/sj.bdj.4809675

[13]   J. Grytten, D. Holst, L. Dyrberg and O. Fahn, “Some Characteristics of Patients Given Dental Treatment under General Anesthesia,” Acta Odontologica Scandinavica, Vol. 47, No. 1, 1989, pp. 1-5.

[14]   J. V. Legault, M. H. Diner and R. Auger, “Dental Treatment of Children in a General Anaesthesia Clinic: Review of 300 Cases,” Journal of the Canadian Dental Association, Vol. 38, No. 6, 1972, pp. 221-224.

[15]   J. P. Loyola-Rodriguez, V. Zavala-Alonso, C. L. Gonzalez-Alvarez, L. A. Juarez-Lopez, N. Patino-Marin and C. D. Gonzalez, “Dental Treatment under General Anesthesia in Healthy and Medically Compromised/Developmentally Disabled Children: A Comparative Study,” Journal of Clinical Pediatric Dentistry, Vol. 34, No. 2, 2009, pp. 177-182.

[16]   H. Ibricevic, Q. Al-Jame and S. Honkala, “Pediatric Dental Procedures under General Anesthesia at the Amiri Hospital in Kuwait,” Journal of Clinical Pediatric Dentistry, Vol. 25, No. 4, 2001, pp. 337-342.

[17]   M. M. Jamjoom, M. I. Al-Malik, R. D. Holt, A. El-Nassry, “Dental Treatment under General Anaesthesia at a Hospital in Jeddah, Saudi Arabia,” International Journal of Paediatric Dentistry, Vol. 11, No. 2, 2001, pp. 110-116. doi:10.1046/j.1365-263x.2001.00252.x

[18]   O. O. Osuji and M. K. Assery, “The Dental Treatment of Children under General Anesthesia at a Hospital in Taif, Saudi Arabia,” Saudi Dental Journal, Vol. 17, 2005, pp. 120-124.

[19]   L. L. Bello, “A Retrospective Study of Pediatric Dental Patients Treated under General Anesthesia,” Saudi Dental Journal, Vol. 12, 2000, pp. 10-15.

[20]   P. Y. Lee, M. Y. Chou, Y. L. Chen, L. P. Chen, C. J. Wang and W. H. Huang, “Comprehensive Dental Treatment under General Anesthesia in Healthy and Disabled Children,” Chang Gung Medical Journal, Vol. 32, No. 6, 2009, pp. 636-642.

[21]   L. Kwok-Tung and N. M. King, “Retrospective Audit of Caries Management Techniques for Children under General Anesthesia over an 18-Year Period,” Journal of Clinical Pediatric Dentistry, Vol. 31, No. 1, 2006, pp. 5862.

[22]   B. K. Drummond, L. E. Davidson, S. M. Williams, S. M. Moffat and K. M. Ayers, “Outcomes Two, Three and Four Years after Comprehensive Care under General Anaesthesia,” The New Zealand Dental Journal, Vol. 100, No. 2, 2004, pp. 32-37.

[23]   L. M. Jamieson and K. F. Roberts-Thomson, “Dental General Anaesthetic Receipt among Australians Aged 15+ Years, 1998-1999 to 2004-2005,” BMC Oral Health, Vol. 8, 2008, p. 10. doi:10.1186/1472-6831-8-10

[24]   L. M. Jamieson and K. F. Roberts-Thomson, “Dental General Anaesthetic Trends among Australian Children,” BMC Oral Health, Vol. 6, 2006, p. 16. doi:10.1186/1472-6831-6-16

[25]   D. R. Moles and P. Ashley, “Hospital Admissions for Dental Care in Children: England 1997-2006,” British Dental Journal, Vol. 206, No. 7, 2009, p. E14. doi:10.1038/sj.bdj.2009.254

[26]   C. Davies, M. Harrison and G. Roberts, “UK National Clinical Guidelines in Paediatric Dentistry: Guideline for the Use of General Anaesthesia (GA) in Paediatric Dentistry,” Royal College of Surgeons of England, London, 2008.

[27]   A. A. Al-Eheideb and N. G. Herman, “Outcomes of Dental Procedures Performed on Children under General Anesthesia,” Journal of Clinical Pediatric Dentistry, Vol. 27, No. 2, 2003, pp. 181-183.

[28]   M. Moskovitz, E. Sammara and G. Holan, “Success Rate of Root Canal Treatment in Primary Molars,” Journal of Dentistry, Vol. 33, No. 1, 2005, pp. 41-47. doi:10.1016/j.jdent.2004.07.009

[29]   N. Ozalp, I. Saroglu and H. Sonmez, “Evaluation of Various Root Canal Filling Materials in Primary Molar Pulpectomies: An in Vivo Study,” American Journal of Dentistry, Vol. 18, No. 6, 2005, pp. 347-350.

 
 
Top